2015-11-16T11:06:48-06:00 2014-12-31 346565596 Ernst & Young LLP 4370 La Jolla Village Dr Suite 500 San Diego CA 92122 990 2014-01-01 951644629 Santa Barbara Cottage Hospital SANT 8056827111 PO Box 689 Santa Barbara CA 931020689 Joan Bricher Sr. Vice President & CFO 2015-11-16 false Eva Nitta P01286320 8585357200 2014 2016-02-25 16:41:14Z Ronald C Werft PO Box 689 Santa Barbara CA 931020689 1042997014 false X WWW.COTTAGEHEALTHSYSTEM.ORG X 1888 CA It is the mission of Santa Barbara Cottage Hospital to provide superior health care through a commitment to our Community and to our core values of excellence, integrity, and compassion. The volunteer Board of Directors uses these core values to make decisions that will improve health care access, affordability and quality. 16 14 3228 798 13557789 0 1260200 3022277 604534117 628675478 25607167 72651459 7012761 10679575 638414245 715028789 2013654 2320709 0 0 253686564 251977295 0 0 0 314209081 351866478 569909299 606164482 68504946 108864307 1279611452 1352834002 444815584 529306147 834795868 823527855 It is the mission of Santa Barbara Cottage Hospital (SBCH) to provide superior health care through a commitment to our Community and to our core values of excellence, integrity, and compassion. The volunteer Board of Directors uses these core values to make decisions that will improve health care access, affordability and quality. false false 507990464 2320709 639355053 Santa Barbara Cottage Hospital is a 408-bed acute-care hospital located in the City of Santa Barbara. In 2014, the Hospital had 83,795 patient days, served 132,097 outpatients, including emergency services to 46,122 patients. The Hospital provides a wide array of inpatient and outpatient services, including but not limited to the areas of cardiology, orthopedics, neurology, trauma, labor & delivery, psychiatric, neonatal intensive care, pediatric intensive care, pediatrics, laboratory, imaging, therapy, diabetes, oncology, emergency and rehabilitation services. Cottage Health, which includes Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital and Santa Ynez Valley Cottage Hospital, provides critical funding for community health, charity care, and external grants, while also realizing shortfalls in Medicare, Medi-Cal, and indigent care. Activities in these areas included screenings and health fairs; classes, clinics, lectures, and seminars; community services; community collaborations; and coalitions/committees. In 2014, Cottage Health spent over $158 million on these programs. Cottage Health has also been diligent in ensuring that all patients have adequate access to care. All patients who do not present insurance are automatically screened for eligibility in government health programs and are assisted in applying for charity if the patient does not qualify for any other assistance. 507990464 true true false true false false false false true true true false false true true false true false false false false false false false false true true true false true true false false false false false true false true true false false false false false true true true true false false true 424 0 true 3228 true true true false false false false false false false false false X 16 14 false false false false true true true true true false false true true true true true true true true false CA X Karen Jones Grandidier 8055697294 400 West Pueblo Santa Barbara CA 93105 P Steven Ainsley Vice Chair 1.25 3.75 X X 0 0 0 Alex Koper MD Secretary 1.25 3.75 X X 0 0 0 Robert C Nakasone Vice Chair 1.25 3.75 X X 0 0 0 Robert E M Nourse Chair 5.00 15.00 X X 0 0 0 Marshall (Chip) Turner Jr Vice Chair 1.25 3.75 X X 0 0 0 Margaret Baker Committee Chair 1.25 3.75 X 0 0 0 Edward S Bentley MD Director 1.00 3.00 X 0 0 0 Jon Clark Committee Chair 1.25 3.75 X 0 0 0 Gregory F Faulkner Committee Chair 1.25 3.75 X 0 0 0 Lori Gaskin PhD Director 1.00 3.00 X 0 0 0 Judith Hopkinson Director 1.00 3.00 X 0 0 0 Dorothy Largay Director 1.00 3.00 X 0 0 0 Fred Lukas Committee Chair 1.25 3.75 X 0 0 0 Gretchen Milligan Committee Chair 1.25 3.75 X 0 0 0 Elliot Prager MD Director 1.00 3.00 X 0 0 0 Thomas Watson MD Committee Chair 1.25 3.75 X 12000 0 0 Joan Bricher CFO 12.50 37.50 X 0 658416 29038 Ronald Werft President & CEO 15.00 45.00 X 0 1178787 35313 Julie Artoux Asst Secretary 12.50 37.50 X 0 129967 20274 Steven Fellows COO 22.50 27.50 X 0 693871 35313 Melinda Staveley VP CRH 40.00 0 X 284434 0 42781 Sally Dickson Dir Sales & Marketing 40.00 0 X 321540 0 19309 Jeffrey Gauvin MD Director Surgical Education 40.00 0 X 386487 0 18224 Andrew Gersoff MD Dir Medical Education 40.00 0 X 286068 0 35313 Stephen Kaminski MD Dir Trama Svcs & SICU 40.00 0 X 278803 0 35313 David Nichols VP Business Devel-Lab 40.00 0 X 590487 0 12768 Afshin Fatholahi VP Support Services 0.00 40.00 X 0 305607 45264 Herbert Geary VP Pt Care Svcs, CNO 0.00 40.00 X 0 411529 50967 Alberto Kywi VP ISD/CIO 0.00 40.00 X 0 499304 60265 Sharon Lutz PhD VP Quality Sup Svcs 0.00 40.00 X 0 296737 50948 Lisa Moore VP Clinical Services 0.00 40.00 X 0 389389 54753 2159819 4563606 545843 545 true true true ARMSTRONG ASSOCIATES 1825 STATE ST STE 202 SANTA BARBARA CA 93101 GENERAL CONTRACTING 7792719 RIGHTSOURCING INC 999 STEWART AVE SUITE 100 BETHPAGE NJ 11714 CONTRACT LABOR 4819158 PAUL HASTINGS LLP 515 SOUTH FLOWER 25TH FLOOR LOS ANGELES CA 90071 LEGAL SERVICES 2930623 MC CARTHY BUILDING COMPANIES 20401 SW BIRCH STREET SUITE 300 NEWPORT BEACH CA 92660 BUILDING CONTRACTOR 2354079 MAYO MEDICAL LABORATORIES PO BOX 9146 MINNEAPOLIS MN 55480 LABORATORY SERVICES 2276716 155 X 1812244 399897 810136 3022277 NET PATIENT SERVICE REVENUE 900099 574949922 574949922 LABORATORY SERVICES 900099 32424059 18866270 13557789 CA HOSPITAL FEE PROGRAM 900099 19157595 19157595 EHR MEDICARE & MEDI-CAL INCENTIVE 900099 1669276 1669276 MEDICAL OFFICE BLDG RENTAL 900099 280737 280737 193889 193889 0 0 628675478 5330403 5330403 0 0 395289281 327968225 67321056 0 67321056 67321056 LAB MANAGEMENT 900099 2315403 2315403 CAFETERIA/GIFT SHOP/DELI/VILLA RIVIERA 900099 3718220 3718220 INSURANCE RECOVERY 900099 718603 718603 3927349 3927349 0 0 10679575 715028789 625797264 13557789 72651459 2320709 2320709 0 0 0 0 0 0 336351 284072 52279 0 84313 0 84313 0 171078234 145367672 25710562 0 14186807 12054530 2132277 0 52452015 44299758 8152257 0 13839575 11566464 2273111 0 1226507 1201698 24809 0 3618930 0 3618930 0 180688 0 180688 0 41094 0 41094 0 0 0 3086892 3086892 47855922 36725594 11130328 0 188573 55293 133280 11705271 9149878 2555393 1442884 1226019 216865 10442557 8034076 2408481 505216 141204 364012 284434 79253 205181 14555782 12368048 2187734 42841717 37242545 5599172 4332679 3848365 484314 Medical Supplies 94065684 94064633 1051 0 System Management Allocation 72479955 53635167 18844788 0 Hospital Fee Program 24894914 24894914 0 0 Equipment Maintenance 9691787 8905437 786350 0 8424992 525135 7899857 0 606164482 507990464 98174018 0 0 0 0 0 17485856 25385078 48766182 50801401 91034576 102371695 250000 0 250000 12429030 13054745 7155608 2668939 914988493 284657272 625692273 630331221 292811567 376291207 134456441 90398550 0 7208633 6455601 42321286 54825565 1279611452 1352834002 68637165 86825023 2457019 7824 317089095 310307727 0 56632305 132165573 444815584 529306147 X 818412260 806508901 10789352 10698773 5594256 6320181 834795868 823527855 1279611452 1352834002 X 108864307 -53311588 -66820732 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 41094 41094 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying activities are calculated as a percentage of dues paid to various organizations. 14983883 0 671586 0 0 73323 15582146 12541861 0 2798120 0 299316 56782 14983883 11636302 0 1323701 0 358958 59184 12541861 12120151 0 -100999 0 338496 44354 11636302 11387435 0 1031032 0 269432 28884 12120151 0.0 0.406 0.594 false false 1645545 12434725 14080270 1061461 683698539 177177770 507582230 9052017 1966090 7085927 164176079 103336990 60839089 42920127 2176422 40743705 630331221 90398550 F 90398550 SELF INSURANCE LIABILITY 30170487 RETIREMENT PLAN - SERP 535953 INTEREST RATE SWAP 28809900 PHYSICIAN GUARANTEES 7874143 MINIMUM PENSION LIABILITY 64775090 132165573 X Schedule D, Part V, Line 4 Intended uses of endowment funds Endowment Funds support specific programs of SBCH. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The System completed an analysis of its tax positions, in accordance with FASB ASC 740, Income Taxes, and determined that there are no uncertain tax positions taken. The System has recognized no interest or penalties related to uncertain tax positions. The System is subject to routine audits by the taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The System believes it is no longer subject to income tax examinations for years prior to 2010. true true X true X 350 true X 405 true true false true true 7910730 7910730 0.0131 127851823 85817833 42033990 0.0693 0 0.0 0 0 135762553 85817833 49944720 0.0824 9758704 600000 9158704 0.0151 9388087 5679518 3708569 0.0061 4297306 1198077 3099229 0.0051 115918 47194 68724 0.0001 1469829 1469829 0.0024 0 0 25029844 7524789 17505055 0.0289 0 0 160792397 93342622 67449775 0.1113 true 8918120 0 126967648 161907425 -34939777 X true true 1 1 Santa Barbara Cottage Hospital 400 West Pueblo Santa Barbara CA 93105 www.cottagehealth.org 050000140 X X X X X Santa Barbara Cottage Hospital and Cottage Rehab Hospital (operating under one license.) Santa Barbara Cottage Hospital 1 false false true X X X X X X X X X 13 true true false true X http://santabarbaragoleta.healthforecast.net X true 13 false true false true X 3.5 4.05 true true X X X true X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Santa Barbara Cottage Hospital. As part of this Community Health Needs Assessment, five focus groups were held on October 9-10, 2013. The focus group participants included 52 local key informants: representatives from public health; physicians; other health professionals; social service providers; employers; and other community leaders. A list of recommended participants for the focus groups was provided by Cottage Health. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Focus group candidates were first contacted by letter to request their participation. Follow-up phone calls were then made to ascertain whether or not they would be able to attend. Confirmation calls were placed the day before the groups were scheduled to ensure a reasonable turnout. Through this process, input was gathered from a representatives of local government officials, public health, as well as several individuals whose organizations work with low-income, minority (including Latino/Mixteco, Native American, Asian, and African American), or other medically underserved populations (specifically, persons who are young adults, elderly, veterans, disabled, lesbian/gay/bisexual/transgender [LGBT], homeless, mentally ill, undocumented, uninsured/underinsured, or receive Medi-Cal/Medicare). Final participation included representatives of the following organizations the Santa Barbara County Education Office, Santa Barbara Unified School District, Santa Barbara Neighborhood Clinics, Planned Parenthood of Santa Barbara, Ventura, & San Luis Obispo Counties, American Indian Health & Services, Mental Wellness Center, Santa Barbara Rescue Mission, Council on Alcoholism & Drug Abuse, County of Santa Barbara Department of Social Services, Foodbank of Santa Barbara County, Pacific Pride, Domestic Violence Solutions, Sarah House, Arthritis Foundation, Pacific Region, Central Coast Office, Hospice of Santa Barbara, Alliance for Living & Dying Well, CenCal Health, Community Action Commission, Central Coast Commission for Senior Citizens-Area Agency on Aging, Visiting Nurse & Hospice Care, DASH (Doctors Assisting Seniors at Home), Carpinteria Children's Project at Main, United Way of Santa Barbara County, American Red Cross, Santa Barbara County Chapter Alzheimer's Association, California Central Chapter, Alpha Resource Center of Santa Barbara, American Heart Association, Central Coast Division , PathPoint, Friendship Center , Independent Living Resource Center, Isla Vista Youth Projects, County of Santa Barbara Public Health Department, Santa Barbara Neighborhood Clinics, Sansum Clinic, Cottage Health, Santa Barbara Street Medicine - Doctors Without Walls, Santa Barbara City College and the Orfalea Foundation. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Santa Barbara Cottage Hospital. CHNA was completed in conjunction with Goleta Valley Cottage Hospital. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - Santa Barbara Cottage Hospital. The hospital sent out a press release regarding the availability of the CHNA and has presented and reported information contained in the CHNA to community groups. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - . As a member of Cottage Health (CH), the needs identified in the Hospital's CHNA will be incorporated into the Community Benefit Program of CH. The implementation strategy of CH Community Benefit Program plans to address all the needs identified in the Hospital CHNA through various hospital programs, health fairs and grant programs. Santa Barbara Cottage Hospital supports the following identified health needs through its hospital programs and health fairs: Access to Care, Immunization & Infectious Diseases, Infant Health & Family Planning, Substance Abuse, Nutrition, Physical Activity & Weight, Dementias, Diabetes, and Mental Health & Mental Disorders. The hospital doesn't support Oral Health through direct programs but does provide grants to support this focus area. Schedule H, Part V, Section B, Line 22 Facility , 1 Facility , 1 - Santa Barbara Cottage Hospital. The maximum that could be charged is based on % of charges that is lower than commercial rates. 9 Pacific Diagnostic Laboratories 454 South Patterson Goleta CA 93117 Outpatient Lab Services Cardio Vascular Clinic 2415 Bath Street Santa Barbara CA 93105 Outpatient Clinic Cystic Fibrosis and Pulmonary Hypertension Clinics 2409 De La Vina Santa Barbara CA 93105 Outpatient Clinic Advanced Imaging Center 2410 Fletcher Street Santa Barbara CA 93105 Outpatient radiology center Cottage Residential Center 312 West Montecito Street Santa Barbara CA 93101 Substance abuse rehabilitation center SB Cope 2325 De La Vina Street Santa Barbara CA 93105 Substance abuse and detox treatment Outpatient Rehabilitation 1035 Peach Street Suite 203 San Luis Obisop CA 93401 Outpatient clinic Children's Outpatient Specialty Clinics (2) 2329 Oak Park Lane Santa Barbara CA 93105 Outpatient pediatric clinic for hematology, oncology and gastrointestinal Pediatric Endocrinology Clinic 427 West Pueblo Santa Barbara CA 93105 Outpatient pediatric endocrinology clinic Schedule H, Part I, Line 3c Other Financial Assistance Factors Patients that are determined to be homeless qualify for presumptive financial assistance, once it is determined that they do not qualify for other insurance programs. Schedule H, Part I, Line 6b Availability of Community Benefit Report Cottage Health prepares a Community Benefit Report on behalf of Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital and Santa Ynez Valley Cottage Hospital. It is filed with the State of California, in compliance with California Senate Bill 697. The Community Benefit Report is available to the public upon request. Schedule H, Part I, Line 6a Community benefit report prepared by related organization Cottage Health Schedule H, Part I, Line 7g Subsidized Health Services Palliative Care services are provided at no cost to the patient. In addition, Santa Barbara Cottage Hospital provides four pediatric outpatient clinics as well as lactation services to the community, all at a substantial financial loss to the hospital. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The costing methodology includes inpatient, outpatient, and emergency department and is broken down by payer categories. Both direct and overhead costs have been allocated, by services rendered. Each Payers net revenue is offset by the total cost and the results by Payer are calculated. In addition to a hospital wide cost to charge ratio, we have calculated cost to charge ratios for each Payer, based on the cost of the type of services rendered to their specific patients. Therefore, the community benefit amounts attributable to Medicaid and other government programs are calculated based on their specific cost to charge ratio. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount Patient service revenue, net of contractual allowances and discounts, is reduced by the provision for bad debts, and accounts receivable is reduced by an allowance for uncollectible accounts. The System establishes an allowance for uncollectible accounts based on many factors, including payer mix, age of receivables, historical cash collection experience, and other relevant information. A significant portion of the System's uninsured patients will be unable or unwilling to pay for services provided and a significant portion of the System's insured patients will be unable or unwilling to pay for co-payments and deductibles. Thus, the System records a significant provision for bad debts related to these insured and uninsured patients in the period the services are provided. The System writes down the expected reimbursement after reasonable collection efforts have been exhausted. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote Bad debt is not included in the Community Benefit report. FOOTNOTE: Patient service revenue, net of contractual allowances and discounts, is reduced by the provision for bad debts, and accounts receivable is reduced by an allowance for uncollectible accounts. The System establishes an allowance for uncollectible accounts based on many factors, including payer mix, age of receivables, historical cash collection experience, and other relevant information. A significant portion of the System's uninsured patients will be unable or unwilling to pay for services provided and a significant portion of the System's insured patients will be unable or unwilling to pay for co-payments and deductibles. Thus, the System records a significant provision for bad debts related to these insured and uninsured patients in the period the services are provided. The System writes down the expected reimbursement after reasonable collection efforts have been exhausted. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The shortfall from total costs for Medicare patients is a significant loss to the hospital. The Hospital is providing care to patients whose insurance (Medicare) does not cover the entire cost of their care. This provides significant aid to the elderly in the community. Some of these elderly people would qualify under FAP guidelines for charity care under any other Payer program. The dollars reported are taken from the 2014 Medicare Cost Report and are derived following their guidelines of allowable and non-allowable costs. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance All patients receive 6 statements over 135 days, which include a statement about how to inquire about financial assistance. Patients who are known to qualify for charity care or are in the process of applying for charity care are not sent to collection until a final charity care determination is made. If they qualify, their account is written down to zero. Schedule H, Part V, Section B, Line 16a FAP website - Santa Barbara Cottage Hospital: Line 16a URL: www.oshpd.ca.gov; Schedule H, Part V, Section B, Line 16b FAP Application website - Santa Barbara Cottage Hospital: Line 16b URL: www.oshpd.ca.gov; Schedule H, Part VI, Line 2 Needs assessment Cottage Health, through its hospitals Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital, researched the needs of the county through the Community Health Needs Assessment (CHNA). In addition, Santa Ynez Valley Cottage Hospital performed their own CHNA. For each hospital, an outside consultant was engaged to review the relevant health and population statistics, conduct a telephone survey and hold focus groups with area leaders who represented a broad group of community members. Along with the CHNA conducted by the Hospitals, CH also utilized the health assessment prepared by the County of Santa Barbara to assess the health of the community. Needs identified in the CHNA include: Access to Care, Immunization & Infectious Diseases, Infant Health & Family Planning, Oral Health, Substance Abuse, Nutrition, Physical Activity & Weight, Dementia, Diabetes, and Mental Health & Mental Disorders. Hospitals are using the information to further support the robust community benefit program that was already in place. The Hospitals provide critical funding for community health, charity care, and external grants, while also realizing shortfalls in Medicare, Medi-Cal, and indigent care. Activities in these areas included screenings and health fairs; classes, clinics, lectures, and seminars; community services; community collaborations; and coalitions/committees. In 2014, Cottage Health spent over $158 million on these programs. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Cottage Health, has a multifaceted Financial Assistance Program to ensure that patients who do not have insurance are screened for eligibility in a government sponsored healthcare plan and receive information about charity care programs. Every patient who does not present the hospital with proof of insurance or existing government support will be given a handout (in English or Spanish) upon registration that is compliant with California Assembly Bill 774 (AB774). The handout contains information about the Hospital charity care programs. This includes where to obtain applications, income guidelines, other qualification information and contact information for Customer Service and the Admitting department. The Hospital posts information about the charity care program in all registration areas required by AB774. Signs in English and Spanish are located in all areas where patients are registered for inpatient and outpatient services. Signs are also located in the patient billing office and cashier office. Patients will also be contacted by an admitting representative or eligibility counselor to assist the patient in determining eligibility for government sponsored insurance programs and assist with the application process at no cost to the patient. Patient Financial Counselors who answer customer service calls are instructed to offer charity care applications to all patients who indicate they have financial need. Santa Barbara Cottage Hospital also works co-operatively with the County of Santa Barbara to provide non-emergency charity care services; this program is known as the Community Service Program. All members of the Community who meet the financial criteria are eligible for the Community Service Program, but must be referred by a physician. When patients who visit the Santa Barbara Public Health Department Clinic have a need for a medically-necessary but non-emergent service, the physicians and Clinic staff inform the patient of the Community Service Program and help the patient to apply. Independent physicians in the Community were made aware of the program and how to access services on behalf of their patients. Schedule H, Part VI, Line 4 Community information Santa Barbara County consists of 2,750 square miles of land and inland water area. Approximately rectangular in shape, Santa Barbara County is bordered on the north by San Luis Obispo County, on the east by Ventura County, and on the south and west by 107 miles of Pacific coastline. Much of the county is mountainous. The Santa Ynez, San Rafael and Sierra Madre mountains extend in a predominately east west direction. Within the county, there are numerous fertile agricultural areas, including the Santa Maria, Cuyama, Lompoc, and Santa Ynez Valleys, and the southeast coastal plain. These areas, which include most of the developed land, also accommodate the majority of the population. Los Padres National Forest, in the eastern part of the county, covers approximately 44 percent of the total county area. Vandenberg Air Force Base is in the Lompoc region, while UCSB is on the South Coast. North County refers to the area west and north of Gaviota and includes the Lompoc, Santa Maria, Santa Ynez and Cuyama valleys. South Coast refers to the Goleta, Santa Barbara, and Carpinteria coastal plain. Santa Barbara Countys 423,895 population is divided into six sub regions: Carpinteria Valley (4.2%); Santa Barbara/Goleta Region (43.5%); Santa Ynez Valley (5.3%); Lompoc Valley (14%), Santa Maria Valley (31%); Guadalupe Valley (1.7%); and the Cuyama Valley (.3%). Of the total population, 50% are females. The median age is 33.6 years. The population age breakdown is: 29% percent is 0 to 17 years old; 58 % are 20 to 54 years old and 13% are 65 and older. For people reporting one race, 88.6% are White; 2.4% are Black or African American; 1.7% are American Indian or Alaska Native; 4.5% are Asian; less than 0.3% are Native Hawaiian or Other Pacific Islander, and 2.5% reported 2 or more races. 40.4% are persons of Hispanic or Latino origin. Of the County's population, 21% are foreign-born, 32.8% of persons over the age of five reported speaking a language other than English at home, and 12.7% of county residents live below the poverty level. The residents of the County are served by 5 hospitals throughout the county. Schedule H, Part VI, Line 5 Promotion of community health The Board of Directors is made up of prominent community members who volunteer their time to ensure that the Santa Barbara Community has access to high-quality, affordable healthcare. The Board of Directors is actively involved in the Hospital's strategic decisions and takes its commitment to the Community very seriously. The Board approves of an annual financial budget and ten-year financial plan to guarantee the Hospital will continue to offer hospital services to the Community for years to come. The Board also approves of annual top goals that are consistent with the mission, vision and values of the Hospital. The financial forethought of the Board of Directors resulted in surplus funds that are being used to rebuild the facility. Santa Barbara Cottage Hospital is building a new hospital in order to comply with the unfunded mandate of the State of California's Senate Bill 1953 (SB1953), which requires all hospitals to retrofit or rebuild in order to withstand a major earthquake. The Hospital used this opportunity to live the core value of excellence by ensuring that the new facility will meet the current and future healthcare needs of the Community. This is the largest project in the Hospital's history. The hospital has completed the first phase of the new facility and has now begun construction of the second phase. Santa Barbara Cottage Hospital works cooperatively with the open medical staff to improve healthcare in the community. The Hospital is exploring how to better align with physicians in order to provide the highest quality of care. Schedule H, Part VI, Line 6 Affiliated health care system Cottage Health is the parent organization of Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital and Santa Ynez Valley Cottage Hospital and Goleta Valley Professional Buildings, Inc. These organizations have a common Board of Directors. Cottage Health Hospitals are the sole hospital providers in the Community and strategic plans are created with all the Hospitals and their Communities in mind. Santa Barbara Cottage Hospital Foundation provides grants to various organizations to promote healthy living and support nurse-training programs in the Community. Santa Barbara Cottage Hospital is the largest hospital in the system and provides the widest array of services. As such, Santa Barbara Cottage Hospital experiences the largest amount of charity care and Medicaid shortfall from cost. The hospital also provides the majority of community benefit programs, which are reported in the Cottage Health Community Benefit Report. Schedule H, Part VI, Line 7 State filing of community benefit report CA true Carpinteria Unified School District 5201 Eighth Street Carpenteria CA 93013 956101195 government 75000 Support of children's Early Health and Wellness Program: health screenings, health fair and preschool activity program. Casa Esperanza Homeless Shelter PO Box 24116 Santa Barbara CA 93121 770502754 501(c)(3) 118100 Casa Esperanza assists homeless individuals and families achieve self-sufficiency by helping them access the services they need to transition to stable employment and housing. Community Action Commision 5638 Hollister Ave Goleta CA 93117 952491790 501(c)(3) 40000 Support of the Healthy Senior Lunch program. Cal State Univ Channel Islands Fndtn One University Drive Camarillo CA 93012 770433230 501(c)(3) 292000 Support of the BSN program in Santa Barbara. Doctors Without Walls-Santa Barbara PO Box 3751 Santa Barbara CA 93103 331210731 501(c)(3) 40000 Support of health needs of the poor and homeless in Santa Barbara. Easy Lift Transportation 53 Cass Place Suite D Goleta CA 93117 953642272 501(c)(3) 25000 Support of paratransit services for individuals either physically or cognitively impaired who cannot avail themselves to public transportation. The Dial-A-Ride program provides access to medical and other services essential to their physical and mental health. Family Service AgencyCRIS 123 West Gutierrez Street Santa Barbara CA 93101 951644031 501(c)(3) 30000 Support of the Senior Services Program. Friendship Adult Day Services 89 Eucalyptus Lane Santa Barbara CA 93108 953398938 501(c)(3) 25000 Support of H.E.A.R.T. (Help Elders At Risk Today) Program. Hospital Hospitality Houses 924 Anacapa Street Suite 1-T Santa Barbara CA 93101 770434600 501(c)(3) 11436 Support of low cost housing to families of severely ill or injured hospital and extended treatment patients who cannot provide their own lodging. Sansum Clinic 470 South Patterson Ave Santa Barbara CA 93111 956419205 501(c)(3) 66853 Support of Patient Navigator Program at the Cancer Center of Santa Barbara. SB Neighborhood Clinic 1900 State Street Suite G Santa Barbara CA 93101 770496382 501(c)(3) 750000 Community Grant to provide neighborhood health clinics for low income patients. People Helping People PO Box 1478 Solvang CA 93464 770338060 501(c)(3) 25000 Support of Adult Dental Fund. Sarah House PO Box 20031 Santa Barbara CA 93120 770224415 501(c)(3) 30000 Offset the end of life care provided to low income patients that transfer from the Hospital Palliative Care facility. SB County Education Office 4400 Cathedral Oaks Road Santa Barbara CA 93160 956000940 government 200000 Support of (1) Welcome Every Baby program aiding new parents with education and child development guidance, and (2) Health Linkages programs which focuses on child health and development. Santa Barbara City College 721 Cliff Drive Santa Barbara CA 93109 770070782 government 418000 Support of Nursing Department at Santa Barbara City College. Santa Barbara City College Fndtn 721 Cliff Drive Santa Barbara CA 93109 953234551 501(c)(3) 18913 Support for safety equipment in the Athletic Department, meant to reduce sports injuries. Thresholds to Recovery Inc 1038 Pittsfield Lane Ventura CA 93001 770335136 501(c)(3) 16830 Grant funding provides help to individuals who have been intoxicated in public. The program offers an alternative to incarceration. Program follow-up includes referral for treatment of alcoholism as an effort in recovery. United Way Santa Barbara County 320 E Gutierrez St Santa Barbara CA 93101 951641968 501(c)(3) 75000 Support of Central Coast Collaborative on Homelessness program. University of CA Regents UCSB Santa Barbara CA 93106 954377221 government 35662 Support of research programs. Willbridge of Santa Barbara 1215 East Montecito Street Santa Barbara CA 93130 571194195 501(c)(3) 14550 Support of the transitional housing beds for homeless patients who are not appropriate for discharge to the streets or shelters and who need supervised convalescense. 20 0 Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant Funds Grant funds are monitored through the Community Health Coordinating Committee of Cottage Health. Grantees are required to submit a report in June of each year that is reviewed by the committee prior to entire amount of funds being disbursed. Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Grant funds are monitored through the Community Health Coordinating Committee of Cottage Health. Grantees are required to submit a report in June of each year that is reviewed by the committee prior to entire amount of funds being disbursed. X X X X false true false false false false false false false Joan Bricher CFO 0 477338 0 115310 0 65768 0 12250 0 16788 0 687454 0 0 Ronald Werft President & CEO 0 856459 0 289913 0 32415 0 12250 0 23063 0 1214100 0 0 Julie Artoux Asst Secretary 0 115165 0 8991 0 5811 0 12250 0 8024 0 150241 0 0 Steven Fellows COO 0 522120 0 138263 0 33488 0 12250 0 23063 0 729184 0 0 Afshin Fatholahi VP Support Services 0 238345 0 44689 0 22573 0 28475 0 16788 0 350870 0 17451 Herbert Geary VP Pt Care Svcs, CNO 0 320995 0 53052 0 37482 0 34178 0 16788 0 462496 0 24574 Alberto Kywi VP ISD/CIO 0 348561 0 62920 0 87822 0 36014 0 24251 0 559569 0 66141 Sharon Lutz PhD VP Quality Sup Svcs 0 229797 0 43589 0 23351 0 27884 0 23063 0 347685 0 16610 Lisa Moore VP Clinical Services 0 284941 0 53593 0 50855 0 31689 0 23063 0 444141 0 24142 Melinda Staveley VP CRH 220895 0 40997 0 22542 0 27294 0 15487 0 327215 0 14927 0 Sally Dickson Dir Sales & Marketing 167964 0 127928 0 25648 0 12250 0 7059 0 340848 0 0 0 Jeffrey Gauvin MD Director Surgical Education 384005 0 160 0 2322 0 12250 0 5974 0 404712 0 0 0 Andrew Gersoff MD Dir Medical Education 257129 0 160 0 28779 0 12250 0 23063 0 321382 0 0 0 Stephen Kaminski MD Dir Trama Svcs & SICU 277814 0 160 0 828 0 12250 0 23063 0 314116 0 0 0 David Nichols VP Business Devel-Lab 135097 0 455390 0 0 0 12250 0 518 0 603255 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation On an annual basis the Executive Compensation Committee (ECC) of the Board of Directors meets to determine appropriate compensation for executives, including the CEO, COO, CFO, and vice presidents. All members of the ECC are independent members of the Board of Directors. The ECC engages an independent consultant to prepare comparative compensation reports for each position. The executives individual performance will also be considered when determining compensation. The ECC recommends compensation for the executives to the full Board for approval. This process takes place annually for all executives. Additional details found in the narrative for Schedule O, Part VI, Line 15. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan The amounts reported in the current years deferred compensation includes recognition of past service. The amounts are subject to a substantial risk of forfeiture. Any amounts paid under this plan in the future will be reported again as reportable compensation in the year paid. The System provides certain executives a supplemental retirement program. The program is defined as deferred compensation under the IRC Section 457(f). The annual contribution is 6.95% of base years salary with the contributions vesting five years from crediting date, or at age 62, or immediately in the event of death, disability, or involuntary termination without cause. The unvested account balances are assets of the System and are included in other assets and the accrued expense is included in pension liability and other in the accompanying consolidated balance sheets. Melinda Stavely received a payout from the 457(f) plan in the amount of $14,927. A California Health Facilities Financing Authority 521643828 13033FQT0 2003-11-20 120987862 Refund 1985 issuance and hospital replacement project false false false B California Statewide Communities Development Authority 680164610 130795Y76 2010-10-20 300168359 Refund 2008 issue false false false A 120987862 1366915 300700 99220247 20100000 2012 true false true true B 300168359 2937359 297231000 2012 true false true true A false true true false 0.0 0.0 0.0 false false true B false true false false 0.0 0.0 0.0 false false true A false false false true false false false false true B false false false true false false false false true A true B true Schedule K, Part III, Line 4 Private use percentage is 0% because a substantial amount of project funding did not come form the issuance of debt. Total project cost is $925 million, of which only $325 million was raised from tax-exempt bond financing. Schedule K, Part I, Column (f) Description Of Purpose Issuer name: California Health Facilities Financing Authority Refund 1985 issuance and hospital replacement project Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: California Health Facilities Financing Authority The calculation for computing no rebate due was performed on 09/30/2009 Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: California Statewide Communities Development Authority The calculation for computing no rebate due was performed on 01/31/2011 HERB GEARY FORMER EMPLOYEE (SEE STATEMENT) HOME PURCHASE X 250000 250000 false true true 250000 JO ELLEN WATSON WIFE OF BOARD MEMBER 112224 EMPLOYEE false Schedule L, Part II INTERESTED PERSONS HERB GEARY IS STILL EMPLOYED BY A RELATED TAX-EXEMPT ENTITY AND SERVES AS A KEY EMPLOYEE TO THAT ENTITY. Form 990, Part VI, Line 6 Classes of members or stockholders Cottage Health is the sole corporate member of Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital, Santa Ynez Valley Cottage Hospital and Goleta Valley Professional Buildings, Inc. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Cottage Health is the sole corporate member of Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital, Santa Ynez Valley Cottage Hospital, and Goleta Valley Professional Buildings, Inc and can appoint Directors to the Board. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The Board of Directors for Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital, Santa Ynez Valley Cottage Hospital, and Goleta Valley Professional Buildings, Inc must obtain prior approval from the Board of Directors of Cottage Health, in order to: a) amend or restate the Articles of Incorporation or Bylaws; b) implement the annual budget and long-term capital and operational budget; c) sell, lease, mortgage, pledge, merge, consolidate or make any other disposition of any material part of the property and assets of this corporation; or d) voluntarily dissolve the corporation. Form 990, Part VI, Line 11b Review of form 990 by governing body Form 990 is prepared under the direction of the Vice President of Finance and CFO. Form 990 is reviewed by independent tax consultants prior to submitting to the Audit and Compliance Committee. All members of the Board receive a copy of the organization's form 990 for review prior to filing via the Board Portal. Form 990, Part VI, Line 12c Conflict of interest policy The purpose of the Conflict of Interest policy is to protect the interest of the Hospital when it contemplates entering into a transaction or arrangement that could benefit the private interest of a Director or Officer of Cottage Health, Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital, Santa Ynez Valley Cottage Hospital, Santa Barbara Cottage Hospital Foundation and Goleta Valley Professional Buildings, Inc., collectively known as Cottage Health. The Cottage Health Directors have a duty to: 1.) discharge their duties to benefit the Cottage Health and not the Directors personally 2.) disclose situations with the potential for conflict of interest with the vision and mission of Cottage Health 3.) refrain from discussing confidential Cottage Health business with others. Each Board member will annually complete the Cottage Health Directors Annual Conflict Disclosure Form. The Disclosure information will be reviewed annually by the Board Chair and the results reported to the full Board. Each Director or Officer will disclose to the Board Chair items to be discussed at a Board meeting. If there are any material financial or personal interests a Board member or family member may have in a Board decision, the Director or Officer will disclose this to the Committee Chair before the Board reviews the items and takes action. In general, an Officer who had disclosed a potential conflict should be excused from the decision making portion of the discussion and is prohibited from voting on a matter involving a potential conflict of interest. If the Board has reasonable cause to believe that a Director or Officer failed to disclose a material financial interest or other potential material conflict of interest, the Board Chair shall inform the member of the basis for the belief and afford the member an opportunity to explain the alleged failure to disclose. After hearing the Director or Officer response and conducting any further necessary investigation, the Board determines if the Director or Officer failed to disclose a material financial or other potential material conflict of interest. The Board Chair shall take appropriate corrective action. Committee Chairs who address conflict of interest situations with a Board Committee member are responsible for reporting such situations to the Board Chair. Key employees are treated as other employees of Cottage Health and sign an annual conflict of interest form. These forms are reviewed by Compliance and any issues are brought to the Chief Compliance Officer. Form 990, Part VI, Line 15a Process to establish compensation of top management official On an annual basis the Executive Compensation Committee (ECC) of the Board of Directors meets to determine appropriate compensation for executives, including the CEO, COO, CFO, and vice presidents. All members of the ECC are independent members of the Board of Directors. The ECC engages an independent consultant to prepare comparative compensation reports for each position. The executive's individual performance will also be considered when determining compensation. The ECC recommends compensation for the executives to the full Board for approval. This process takes place annually for all employed officers and key employees. Form 990, Part VI, Line 15b Process to establish compensation of other employees The process described in line 15a, above, takes place annually for all employed officers and key employees. Form 990, Part VI, Line 19 Required documents available to the public Tax filings can be obtained upon request from the CFO. Audited Financial Statements are attached to the Form 990 in accordance with IRS instructions. The bylaws and conflict of interest policies are not available to the public. Form 990, Part VIII, Line 2f Other Program Service Revenue All Other - Total Revenue: 193889, Related or Exempt Function Revenue: 193889, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue All Other Operating Revenue - Total Revenue: 3927349, Related or Exempt Function Revenue: 3927349, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Change in pension liability - -59189082; Change in fair value of interest rate swaps - -7631650; PACIFIC DIAGNOSTIC LABORATORIES LLC PO BOX 689 SANTA BARBARA CA 93102 205038438 OUTPATIENT LABORATORY SERVICES CA 34742888 23172850 SANTA BARBARA COTTAGE HOSPITAL COTTAGE HEALTH PO BOX 689 SANTA BARBARA CA 931020689 770431902 PARENT ORGANIZATION FOR 3 HOSPITALS AND MEDICAL PROFESSIONAL CA 501(c)(3 3 N/A false GOLETA VALLEY COTTAGE HOSPITAL PO BOX 689 SANTA BARBARA CA 931020689 952413596 HOSPITAL CA 501(c)(3 3 COTTAGE HEALTH true SANTA YNEZ VALLEY COTTAGE HOSPITAL INC PO BOX 689 SANTA BARBARA CA 931020689 952224265 HOSPITAL CA 501(c)(3 3 COTTAGE HEALTH true SANTA BARBARA COTTAGE HOSPITAL FOUNDATION PO BOX 689 SANTA BARBARA CA 931020689 953802238 FOUNDATION TO SUPPORT SANTA BARBARA COTTAGE CA 501(c)(3 7 N/A false GOLETA VALLEY PROFESSIONAL BUILDINGS INC PO BOX 689 SANTA BARBARA CA 931020689 770004202 MEDICAL PROF BLDG CA 501(c)(3 Type II COTTAGE HEALTH true true false true true false false true false false false false true true true true true true true true Cottage Health G 242900 accrual Cottage Health M 73080431 accrual Cottage Health O 378299 accrual Cottage Health P 4383978 accrual Cottage Health Q 18184435 accrual Cottage Health R 8194837 accrual Goleta Valley Cottage Hospital A 763750 accrual Goleta Valley Cottage Hospital L 5118993 accrual Goleta Valley Cottage Hospital O 1325097 accrual Goleta Valley Cottage Hospital P 3349947 accrual Goleta Valley Cottage Hospital Q 35318127 accrual Goleta Valley Cottage Hospital R 51067 accrual Santa Ynez Valley Cottage Hospital L 781661 accrual Santa Ynez Valley Cottage Hospital O 411914 accrual Santa Ynez Valley Cottage Hospital P 207034 accrual Santa Ynez Valley Cottage Hospital Q 3755514 accrual Goleta Valley Professional Building A 50050 accrual Goleta Valley Professional Building P 394079 accrual Goleta Valley Professional Building Q 810745 accrual Goleta Valley Professional Building R 952066 accrual Santa Barbara Cottage Hospital Foundation C 1812244 accrual